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Table 2 Questions for clinicians to consider in cardio-oncology SDM discussions

From: Rationale and proposed framework for shared decision making in cardio-oncology

Which poses a greater threat to the patient’s survival and quality of life, cancer or heart disease?

Is long term survival a realistic goal or would a shift in goals of care to focus on quality of life be more successful in your clinical opinion?

What is the risk/benefit ratio of proposed interventions from an oncologic and cardiac standpoint, and how might they conflict with each other?

To what extent might lifestyle interventions supplant the need for pharmacotherapy, and how willing and able might the patient be to adopt lifestyle changes?